Individual provider Active NPI

Bianca Shanell Bowles, FNP-C

  • Family Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1366154122
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
285236 Issued in AZ
Practice address
1940 E Wilcox St
Ste 102
Sierra Vista, AZ 85635
Phone
(520) 335-2400
Fax
(877) 669-0381
NPI assigned
Dec 22, 2022
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 285236 AZ Primary

Addresses

Primary practice location

1940 E Wilcox St
Ste 102
Sierra Vista, AZ 85635

Mailing address

1940 E Wilcox St
Suite 102
Sierra Vista, AZ 85635-4783
Phone (520) 335-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119000940 AZ Practitioner - Nurse Practitioner 6406227065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular Associates LLCGroup PAC ID 6002169919, 5 clinicians

Practice addresses (Care Compare)

1940 E Wilcox St
Suite 102
Sierra Vista, AZ 85635
Phone (520) 335-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
89.28
Improvement activities
40
Cost
81.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
285236AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Associates LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

1590 Paseo San Luis
Ste 102
Sierra Vista, AZ 85635
Phone (520) 335-2400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1366154122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 E WILCOX ST",
            "address_2": "SUITE 102",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354783",
            "telephone_number": "520-335-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 E WILCOX ST",
            "address_2": "STE 102",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-335-2400",
            "fax_number": "877-669-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "BIANCA",
        "middle_name": "SHANELL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "285236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.